Healthcare Payment & Revenue Integrity Congress 2023

Healthcare Payment and Revenue Integrity

Delivering scalable and flexible solutions which ensure accuracy and integrity of claims, nurture payer-provider relationships and support the transition to value-based payments

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Embassy Suites Orlando- Downtown | Florida
8-9 February, 2023

Take a look at our speakers confirmed so far through our agenda

Delivering scalable and flexible solutions which ensure accuracy and integrity of claims

The Healthcare Payments and Revenue Integrity Congress is the only summit focused on addressing healthcare waste and ensuring that claims are paid correctly, reflecting current healthcare needs. You will join key decision-makers, within health insurers and providers, who are responsible for payment and revenue integrity, value-based payment, and networking relations.

At a time when both payers and providers are evaluating and streamlining internal payment and revenue integrity processes, this networking conference has been established to breakdown silos, by promoting discussion between clinical, coding, revenue cycle and payment departments to facilitate the development of efficient, value-based healthcare systems.

Attendees registered include:

Step into interactive discussions and engaging presentations on the key challenges and opportunities presented by payment companies today:

2
Main Event Days
20+
Industry Leading Speakers
100+
Industry Experts
15+
Dedicated Networking Hours

WHO YOU WILL MEET

40%
Healthcare Payers/ Insurance Companies
20%
Healthcare Providers
30%
Payment Integrity Vendors
10%
Claims Processing

Healthcare Payers/ Insurance Companies

Healthcare Providers

Payment Integrity Vendors

Claims Processing

OUR INDUSTRY LEADING SPEAKERS

 

William Rothbauer

Vendor Relationship Management, Payment Integrity
UnitedHealth Group

William Rothbauer

Vendor Relationship Management, Payment Integrity
UnitedHealth Group

William Rothbauer

Vendor Relationship Management, Payment Integrity
UnitedHealth Group
 

Jibran Syed

Director - Value Based Solutions
ANTHEM

Jibran Syed

Director - Value Based Solutions
ANTHEM

Jibran Syed

Director - Value Based Solutions
ANTHEM
 

Priscilla Alfaro

VP Payment Integrity
Blue Cross NC

Priscilla Alfaro

VP Payment Integrity
Blue Cross NC

Priscilla Alfaro

VP Payment Integrity
Blue Cross NC
 

Michael Manley

Director, Integrated Provider Partnerships
Highmark Health

Michael Manley

Director, Integrated Provider Partnerships
Highmark Health

Michael Manley

Director, Integrated Provider Partnerships
Highmark Health
 

Kyle Collins

Director - Integrated Provider Partnerships
Highmark Health

Kyle Collins

Director - Integrated Provider Partnerships
Highmark Health

Kyle Collins

Director - Integrated Provider Partnerships
Highmark Health
 

Dutch Noss

Chief Operating Officer
Precision GX

Dutch Noss

Chief Operating Officer
Precision GX

Dutch Noss

Chief Operating Officer
Precision GX
 

Kara Suter

Division Chair of Payment Innovation
Mayo Clinic

Kara Suter

Division Chair of Payment Innovation
Mayo Clinic

Kara Suter

Division Chair of Payment Innovation
Mayo Clinic
 

Stephanie Sjogren

Director, Coding and Provider Reimbursement
EmblemHealth/Connecticare

Stephanie Sjogren

Director, Coding and Provider Reimbursement
EmblemHealth/Connecticare

Stephanie Sjogren

Director, Coding and Provider Reimbursement
EmblemHealth/Connecticare
 

Constance Taylor (ne' Boone)

Director Provider Collaboration
ANTHEM

Constance Taylor (ne' Boone)

Director Provider Collaboration
ANTHEM

Constance Taylor (ne' Boone)

Director Provider Collaboration
ANTHEM
 

Sophia Gin

SVP Global Delivery Systems
Cigna

Sophia Gin

SVP Global Delivery Systems
Cigna

Sophia Gin

SVP Global Delivery Systems
Cigna
 

Michael Menen

Chief Medical Officer
MedReview

Michael Menen

Chief Medical Officer
MedReview

Michael Menen

Chief Medical Officer
MedReview
 

Michael McGauley

Founder
FCS

Michael McGauley

Founder
FCS

Michael McGauley

Founder
FCS
 

Michele Bear

Executive Director, Revenue Integrity
Baptist Health

Michele is a revenue cycle Executive Director, with oversight of revenue integrity, revenue cycle reporting and data analytics and front-end revenue cycle functions at Baptist Health & Baptist MD Anderson Cancer Center.  She has over 30 years’ experience in healthcare operational, compliance and revenue cycle functions for both hospital and physician services.  Michele holds multiple certifications in the healthcare industry. 

Michele Bear

Executive Director, Revenue Integrity
Baptist Health

Michele Bear

Executive Director, Revenue Integrity
Baptist Health

Michele is a revenue cycle Executive Director, with oversight of revenue integrity, revenue cycle reporting and data analytics and front-end revenue cycle functions at Baptist Health & Baptist MD Anderson Cancer Center.  She has over 30 years’ experience in healthcare operational, compliance and revenue cycle functions for both hospital and physician services.  Michele holds multiple certifications in the healthcare industry. 

Michele is a revenue cycle Executive Director, with oversight of revenue integrity, revenue cycle reporting and data analytics and front-end revenue cycle functions at Baptist Health & Baptist MD Anderson Cancer Center.  She has over 30 years’ experience in healthcare operational, compliance and revenue cycle functions for both hospital and physician services.  Michele holds multiple certifications in the healthcare industry. 

 

Carl Brodarick

SVP Managed Care Contracting & Value Based Purchasing
AccentCare

Carl Brodarick

SVP Managed Care Contracting & Value Based Purchasing
AccentCare

Carl Brodarick

SVP Managed Care Contracting & Value Based Purchasing
AccentCare
 

Tamar Goldblatt

Senior Director, Pricing Strategy
Novant Health

Tamar Goldblatt

Senior Director, Pricing Strategy
Novant Health

Tamar Goldblatt

Senior Director, Pricing Strategy
Novant Health
 

Rani Khetarpal

Rani Khetarpal, VP Strategy
Moderna Therapeutics

Rani Khetarpal

Rani Khetarpal, VP Strategy
Moderna Therapeutics

Rani Khetarpal

Rani Khetarpal, VP Strategy
Moderna Therapeutics
 

Dale Carr

Director
Missouri Medicaid Audit and Compliance (MMAC)

Dale Carr currently serves as Director of the Missouri Medicaid Audit & Compliance (MMAC) unit, which
has overall responsibility for Medicaid program integrity efforts. Dale has worked for the State of
Missouri since 2011. Director Carr was previously a Police Officer in Fallon, NV; an Investigator for the
U.S. Office of Special Counsel; and a Supervisory Special Agent with the Coast Guard Investigative
Service. Dale holds a Bachelor’s degree in Administration of Criminal Justice and is a graduate of the

158th Session of the FBI National Academy.

Dale Carr

Director
Missouri Medicaid Audit and Compliance (MMAC)

Dale Carr

Director
Missouri Medicaid Audit and Compliance (MMAC)

Dale Carr currently serves as Director of the Missouri Medicaid Audit & Compliance (MMAC) unit, which
has overall responsibility for Medicaid program integrity efforts. Dale has worked for the State of
Missouri since 2011. Director Carr was previously a Police Officer in Fallon, NV; an Investigator for the
U.S. Office of Special Counsel; and a Supervisory Special Agent with the Coast Guard Investigative
Service. Dale holds a Bachelor’s degree in Administration of Criminal Justice and is a graduate of the

158th Session of the FBI National Academy.

 

Mark Johnson

Sr Vice President, Product
CERIS

Mark Johnson

Sr Vice President, Product
CERIS

Mark Johnson

Sr Vice President, Product
CERIS
 

Chad Roswick

Sr. Director II - Enterprise Shared Services
L.A. CARE HEALTH PLAN

Chad Roswick

Sr. Director II - Enterprise Shared Services
L.A. CARE HEALTH PLAN

Chad Roswick

Sr. Director II - Enterprise Shared Services
L.A. CARE HEALTH PLAN
 

Marlene Mullen-Clayton

DO, CPE, MBA, FAAPL Chief Medical Officer
PERFORMANT CORP

Marlene Mullen-Clayton

DO, CPE, MBA, FAAPL Chief Medical Officer
PERFORMANT CORP

Marlene Mullen-Clayton

DO, CPE, MBA, FAAPL Chief Medical Officer
PERFORMANT CORP
 

Dr. Michael Taylor

Chief Executive Officer
Alivia Analytics
  • Founder, Former President and CEO, MARS (MultiPlan Payment Integrity Solutions)
  • President of MultiPlan’s Payment Integrity division
  • Founded MARS as a technologically-enabled provider of healthcare payment integrity services for payers and third-party administrators
  • VP of Operations at Executive Health Resources, acquired by Optum in 2010.
  • Previously medical director for Aetna / Schaller Anderson, as well as co-Founder and President of a rura

Dr. Michael Taylor

Chief Executive Officer
Alivia Analytics

Dr. Michael Taylor

Chief Executive Officer
Alivia Analytics
  • Founder, Former President and CEO, MARS (MultiPlan Payment Integrity Solutions)
  • President of MultiPlan’s Payment Integrity division
  • Founded MARS as a technologically-enabled provider of healthcare payment integrity services for payers and third-party administrators
  • VP of Operations at Executive Health Resources, acquired by Optum in 2010.
  • Previously medical director for Aetna / Schaller Anderson, as well as co-Founder and President of a rural family medicine practice.
  • Michael is a graduate of Vanderbilt University School of Medicine and Harvard College
 

Toni Case

Vice President, National Sales
CERIS

Toni Case

Vice President, National Sales
CERIS

Toni Case

Vice President, National Sales
CERIS
 

Karen Weintraub

Executive Vice President
HEALTHCARE FRAUD SHIELD

Karen Weintraub

Executive Vice President
HEALTHCARE FRAUD SHIELD

Karen Weintraub

Executive Vice President
HEALTHCARE FRAUD SHIELD
 

Dave Cardelle

Chief Strategy Officer
AMS

Dave Cardelle

Chief Strategy Officer
AMS

Dave Cardelle

Chief Strategy Officer
AMS
 

Jake Hartberger

AVP of Payment Integrity
MOLINA HEALTHCARE

Jake Hartberger

AVP of Payment Integrity
MOLINA HEALTHCARE

Jake Hartberger

AVP of Payment Integrity
MOLINA HEALTHCARE
 

Kirstina Rollings

Chief Growth Officer
CAQH

Kirstina Rollings

Chief Growth Officer
CAQH

Kirstina Rollings

Chief Growth Officer
CAQH
 

Rajasekhar Maddireddy

Co-founder
COVERSELF

Rajasekhar Maddireddy

Co-founder
COVERSELF

Rajasekhar Maddireddy

Co-founder
COVERSELF
 

Mike Spellman

Sr. Director Consulting & Design
CLAIMSXTEN

Mike Spellman

Sr. Director Consulting & Design
CLAIMSXTEN

Mike Spellman

Sr. Director Consulting & Design
CLAIMSXTEN
 

Raghavendra Pawar

Co-founder
COVERSELF

Raghavendra Pawar

Co-founder
COVERSELF

Raghavendra Pawar

Co-founder
COVERSELF

DOWNLOAD THE AGENDA

We're delighted to share the 2023 program for Healthcare Payment & Revenue Integrity Summit.

Fill out your details to download the agenda here:

DOWNLOAD THE AGENDA

CONFERENCE PACKAGES

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If you would like to register a team of 3 or more, please email [email protected] for your discount coupon code before registering. PLEASE NOTE: Discounts cannot be combined with Early Bird Pricing or any other discount or offer. If you have any questions about your registration, please call us on +44 (0)20 3696 2920

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Venue

Embassy Suites Orlando - Downtown, 191 East Pine Street, Orlando, FL 32801

We're excited to welcome you face-to-face in Orlando at Embassy Suites Orlando - Downtown for the Healthcare Payment & Revenue Integrity Summit!

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Kisaco Research
Registered office address: 41a Maltby Street, London, SE1 3PA
+44 (0)20 3696 2920 | [email protected]
Place of registration: London, United Kingdom
Company number: 09316521

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